Financial u0026 Reimbursement Consultant

u003cdivu003eu003cdivu003eu003cstrongu003eTITLE: Financial u0026Reimbursement Consultantu003c/strongu003eu003cbru003eu003cstrongu003eLocation: Buckeye Lake, OHu003c/strongu003eu003cbru003eu0026 u003cbru003eNow is your chance to join a Forbes magazine top 100 hospital where career growth and opportunity await you.u003cbru003eThey are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for quality talent who share the same values.u003cbru003eThey’re nestled in a beautiful rural setting but close enough to the big city to enjoy that toou003cbru003eIf that sounds like the change you are looking for, please read on…u003cbru003eu003cstrongu003eWhat they’re looking for:u003c/strongu003eu003cbru003e•Bachelor’s degree in Accounting, Business Administration, Healthcare, or related area or equivalent experience with reimbursement methodologies, contract language, and adjudication of claims.u003cbru003e•Ability to read and write in order to understand, explain, or describe moderately complex information.u003cbru003e•Strong verbal and written communication, problem solving and critical thinking skills.u003cbru003e•Ability to independently prioritize and focus on multiple tasks concurrently.u003cbru003e•Strong PC skills in Word, Excel, Lotus Notes, and Windows applications.u003cbru003e•Appropriate EPIC certification to be obtained within provided timeline, if EPIC certifications are not already obtained.u0026 u003cbru003eu003cstrongu003eHours and compensation potential:u003c/strongu003eu003cbru003e•The position is full time.u0026 u003cbru003e•The range starts at $30.27hr and goes up with experience.u0026 u003cbru003e•Full benefits package being offered.u003cbru003eu003cstrongu003eWhat you’ll be doing:u003c/strongu003eu003cbru003e•Maintains accurate third party payer reimbursement modeling and contract maintenance systems.u0026 u003cbru003eVerifies reporting from such systems in order to provide accurate, high quality information pertaining to contract management outcomes as needed for financial and other analysis.u003cbru003eProvides tracking and analysis of quality measures present in reimbursement contracts.u003cbru003eESSENTIAL DUTIESu003cbru003e•Tracks and analyzes system performance on contract requirements such as quality scorecardsu003cbru003e•Completes contract modeling, performance reporting, and maintenance within Epicu003cbru003e•Performs investigation and analysis of assigned work queues within Epic.u003cbru003e•Assists with new payer/plan build and design within Epic.u003cbru003e•Negotiates payment on individual non-network cases.u003cbru003e•Assists with third party payer reimbursement communications and is the liaison to all hospital departments and outside entities that have business with the Financial u0026Reimbursement Services department.u003cbru003e•Provides support to the Managed Care team by converting data into information.u003cbru003e•Supports all hospital departments with reimbursement methodology, contract language knowledge, and proper identification of third-party payers during registration.u003cbru003e•Develops and maintains documentation and procedures, as needed, to provide training to other staff.u003cbru003e•Functions as primary resource dedicated to designing, building, testing, and activating the contract management information systems. These include Epic Hospital Billing and any other contract management system.u003cbru003e•Responsible for resolving Epic expected reimbursement system functionality issues via assigned Footprints tickets.u003cbru003e•Documents and maintains all required contract management system design, build and change documents.u003cbru003e•Contributes to testing of all contract management systems to ensure proper system configuration.u003cbru003e•Works with all contract management system vendors to resolve issues/problems in a timely manner.u003cbru003e•Effectively utilizes project tools, technologies and methodologies to provide clear and concise documentation/communication (i.e. project tracking, weekly reports, etc.).u003cbru003e•Maintains open communications with functional area manager/director regarding projects and systems issues.u003cbru003e•Prioritizes and schedules projects and resources.u003cbru003eu003cstrongu003eAdditional info:u003c/strongu003eu003cbru003e•Position will report to the Director whom is well respected within the organization.u0026 u003cbru003e•If you're a passionate Financial u0026Reimbursement Consultant and seeking a rewarding career in a collaborative healthcare setting, this is the opportunity you've been waiting for. Join us in east central Ohio, and become part of our exceptional team dedicated to delivering high-quality care to our community. Apply now and embark on a fulfilling career journey with us.u003c/divu003eu003cdivu003eu0026 u003c/divu003eu003c/divu003e ', 'location ': 'Buckeye Lake, OH ', 'remote ':null, 'jobtype ': 'directhire ', 'remoteoption ': 'notspecified ', 'featuredonjobboard ':false, 'ownedbyagency ':false, 'externalid ': 'OH159-2748621

Created: 2025-10-04